20020495.pdfDATE RECEIVI,, a 1�" rPERMITEXPIRE
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F E ZONE PERMIT
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REMARKS
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REMARKS
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PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTI�N �RED
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Description
FEE Description FEE
Plan Check
State Surcharge
HEAT SOURCE
LOT SLOPE %
____ ____
Building Permit
City Surcharge
113—
PLAN CHECK NO:
VES
iing
THIS PERMIT AUTHORIZES 04LY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Iz BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION THE PUB:JC
ON
Grading
DOMAIN 4CURBS'Si DEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQU RE
SEPARATE PERMISSION.
Engr. REVIEW
PERMITAPPLICATION: URIDAYS
PERMIT UMIt r YEAR - PROVIDED WORK IS STARTED WITHIN 18. DAYS
Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES 10 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS, WASHINGTON, (IS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
9 FROM TI E ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED
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Landscape Insp.
TO MODIFY. WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
.0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE AIN ORDINANCE PROVISION -
Total Amt. Due
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Recording Fee
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN 'a CORRECC AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE GINNIE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONISJRUC�
CALL
Thill,
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PER NWILLBEEMFLOYED
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VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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IN ORKMEN'S COMPENSATION INSURANCE AND ROW 18.27.
SIGNATURE (OWNER 0 AGE" TE SIGNED
(425)
OF S ONATURE DATE
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771-0220
oh_ '716�
DATE
ATTENTION
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
OR GINAL � FILE - YELLOW - INSPECT6
PINK -OWNER - G LD�ASSEI`S�R
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN . ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall
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Stab Insulation ..........
0
PLUMBING:
Underground .............
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RougNn ...................
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0
Commercial Final
0
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HEATING:
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Gas Tdst; ..........
0
Gas Piping
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Equipment .................
P.
0,
Commercial Final
M M
EXTERIOR SHEATHING
NAILING - ..............
0 V; r
0
0
FRAMING ........................
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FIRST FLOOR FRAMING...
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INSULATION .� .............
'Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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N IDIA1,
IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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